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Anemia in horses – can diet help?

Anemia in horses – can diet help?

Anemia is a condition in which there are too few red blood cells in the blood or too little hemoglobin responsible for transporting oxygen. As a result, the horse's body is less oxygenated, which may lead to decreased performance, weakness and slower regeneration. However, it is worth remembering that anemia is not a disease in itself, but a symptom accompanying other diseases or abnormalities. Can a properly balanced diet help? Yes, but only if it supports the treatment of the cause of the problem.

The most common causes of anemia in horses are chronic inflammation, infectious diseases, parasites, blood loss due to injuries or bleeding from the gastrointestinal tract, as well as nutritional deficiencies. In foals and young horses, deficiencies of iron, copper or B vitamins may be more important, while in adult horses anemia develops much more often as a result of chronic diseases. For this reason, the first step should always be a consultation with a veterinarian and performing blood tests to determine the cause of the problem.

Although iron is associated with the treatment of anemia, its supplementation is not always a good solution. Unlike humans, iron deficiency in adult horses is relatively rare because most hay and forage-based diets provide sufficient iron. Excessive supplementation, however, may lead to impaired absorption of other elements, such as copper or zinc, and increase oxidative stress. That’s why preparations with a high iron content should only be used after its deficiency has been confirmed by laboratory tests.

However, this does not mean that nutrition does not play an important role. The production of red blood cells requires an adequate supply of not only iron, but also copper, cobalt, vitamin B12, folic acid and high-quality protein. Deficiencies of these ingredients may limit the blood formation process and slow down the return to full fitness. This is why the diet of an anemic horse should be based primarily on good quality hay and complete feed or a properly balanced ration supplemented with a vitamin and mineral preparation.

During the horse’s convalescence, it is worth ensuring an adequate supply of energy and easily digestible protein, especially if the horse has lost weight or suffered a serious illness. However, you should not increase the amount of cereals, because excess starch may negatively affect the functioning of the digestive tract. A much better solution is feed based on fiber, added fat and highly digestible raw materials that support the regeneration of the body without excessive burden on the digestive system.

You cannot forget about regular parasite control. Chronic parasitic infestations, especially in young horses, can lead to blood loss and impaired nutrient utilization. It is equally important to provide the horse with appropriate housing conditions, reduce stress and adjust the intensity of work to its current health condition. The body fighting anemia needs time to rebuild, and returning to intense training too quickly may prolong the regeneration process.

To sum up, diet may be a valuable element supporting the treatment of anemia, but it will not solve the problem on its own. The most important thing is to determine the cause of anemia and implement appropriate veterinary treatment. Properly balanced nutrition, providing all the necessary nutrients, supports the blood formation process, body regeneration and the horse’s return to full condition. Before you reach for iron supplements, it is worth doing blood tests and consulting the results with a veterinarian or an equine dietitian!

Anna Porożyńska

Notes:

Borges, AIexandre S., et al. “Serum iron and plasma fibrinogen concentrations as indicators of systemic inflammatory diseases in horses.” Journal of Veterinary Internal Medicine 21.3 (2007): 489-494.
Jamieson, Camilla A., Sarah L. Baillie, and Jessica P. Johnson. “Blood transfusion in equids—a practical approach and review.” Animals 12.17 (2022): 2162.
Kiełbik, Paula, and Olga Witkowska-Piłaszewicz. “Iron Status in Sport Horses: Is It Important for Equine Athletes?.” International Journal of Molecular Sciences 26.12 (2025): 5653.
Weiss, Douglas J., and K. Jane Wardrop, eds. Schalm’s veterinary hematology. John Wiley & Sons, 2011.
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